Creekside Health Care Center

LBN: Creekside Operating Company Lp
Creekside Health Care Center is an health care organization with primary practice located at 1900 Church Ln , San Pablo CA 94806-3708. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Creekside Operating Company Lp can be contacted via phone (510) 235-5514, or through Saavedra, Andrea via phone (707) 208-1940.

Contact Information

Primary practice address
1900 Church Ln San Pablo CA 94806-3708
Phone: (510) 235-5514
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Saavedra, Andrea
Phone: (707) 208-1940

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 140000547 California

Profile Details

NPI number 1306269386
LBN Legal business name Creekside Operating Company Lp
DBA Doing business as Creekside Health Care Center
Authorized official Saavedra, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2014
Last updated Oct 13th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306269386 NPPES
California MEDICAID LTC05099L

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